caregivers when Thomas Eric Duncan became the first patient diagnosed with Ebola in this country.
Two Dallas nurses were infected with the deadly virus while treating Duncan at Texas Health Presbyterian Hospital Dallas, where he died in early October.
By that time, some specialized treatment centers were already handling Ebola cases with more stringent protocols. hospitals to use a set of guidelines issued in 2007, which infectious disease experts say were insufficient and outdated.
“The first time I saw the procedure actually saw what people were doing in terms of the handling of the patient himself, I was horrified,” said Dr. Joseph McCormick, an infectious disease specialist who has cared for African patients with Ebola as far back as the first known outbreak in 1976. “I thought, ‘Where did this come from?'”
The CDC maintains that the guidelines in place this summer were adequate when followed correctly. hospitals should have been able to handle a case of Ebola using the original guidance,” said agency spokeswoman Melissa Brower.
The CDC issued tougher guidelines in late October after the nurses were infected. It’s not known exactly how they contracted the virus.
Brower said the agency didn’t tighten its regulations because the previous recommendations were inadequate, but “to try to make it harder for health care workers to make a mistake while caring for Ebola patients.”
Disease experts learned in 1976 that Ebola spreads from person to person by direct contact with body fluids such as blood and the extensive diarrhea that patients can produce.
Ebola can enter the body through a puncture, a cut, or exposure to the eyes, nose or mouth. Health care workers not only need to wear clothing and gear that protects their bodies, but must also take off dirty gear safely.
A 1995 outbreak killed about 250 in Kikwit, Congo. When CDC experts arrived to help, 65 hospital workers were already infected. After protective gear was provided and the CDC and other organizations offered training, just one more health care worker became sick. She said she had inadvertently rubbed her eyes with soiled gloves.
The 1998 CDC guidelines, posted online and published in a manual, were written based on lessons learned in Kikwit. There were many detailed precautions to take, such as wearing gowns, masks and goggles.
Health care workers also were told to wear two pairs of gloves and shoe covers. Gloves should be disinfected during undressing, and a certain sequence was to be followed for putting on and taking off gear.
That sequence is critical, said Sean Kaufman, a biosafety expert. Some gear is more likely to have been exposed to the virus.
For example, outer gloves, more likely to be exposed to the virus, are taken off first because they are “dirty.” The face stays protected as long as possible and the “cleaner” inner gloves are taken off last.
Kaufman trained Emory University Hospital staff before their first two Ebola patients arrived cheap jerseys from Africa in August and provided safety expertise during their treatment. He said the 1998 manual’s undressing or “doffing” sequence is sound.
“Whoever did this doffing process understands containment of infectious disease,” he said.
But in 2005, the CDC published another set of guidelines. was available through another link. health care workers that would be issued by the CDC in 2007 based on the advice of a committee of infectious disease experts.
Dr. Jane Siegel, a UT Southwestern pediatrician who specializes in infectious disease, co chaired the committee. She said people who weighed in on a draft of the guidelines during the comment phase questioned “whether there was sufficient evidence to support the benefit of double gloving and leg covers.”
Dr. Peters was a virologist for the CDC during the Kikwit outbreak. He helped edit the manual that contains the 1998 guidelines.
“CDC knew, available from their website, was wholesale jerseys china a manual that has how to dress and how to undress and what to dress cheap nfl jerseys with,” said Peters, now a professor at the University of Texas Medical Branch Galveston. wholesale jerseys “, how to take them off, etc., etc., and if they had read this, they would have had a little different recommendations.”
Siegel said the committee did read the 1998 manual.
The committee also considered a 2002 medical journal article that Peters helped write, which recommended double gloves and leg and shoe covers. And it examined a 1995 CDC article that said leg and shoe covers “may be used.”
Those measures remained the same from 2007 until they were tweaked in August of this year: The CDC expanded its description of dangerous body fluids that would warrant more gear, saying double gloves and leg and shoe covers “might be required” in certain situations involving “copious amounts of blood, other body fluids, vomit or feces.”Articles Connexes：
Ravi Bhatnagar, Manager, External Affairs at Reckitt Benckiser talks to Samhita about RB’s sanitation campaign, Banega Swachh India. He emphasises the need for a collaborative approach in the sanitation space, with multiple stakeholders coming together to fulfil the mission of Swachh Bharat.
The Prime Minister’s call for a Swachh Bharat Abhiyan in 2014 has reactivated the demand to provide better health and hygiene to communities. However, the campaign seems to focus on building toilets at the expense of other equally important issues. The article talks about the need for a holistic approach when implementing WASH programs.
In a fresh move, the government has further cancelled the licences of 2,406 non-governmental organisations (NGOs) across the country, which includes entities that run schools and hospitals.
Anirban Ghosh, Vice President, Sustainability, Mahindra & Mahindra talks to Samhita Social Ventures about Mahindra’s CSR strategy. He speaks about the need to shift focus from merely implementing CSR activities to looking at creating long-term impact. He also presents a perspective on the challenges that both companies and NGOs face while implementing CSR programs and his long term goals for M&Ms CSR.
Samhita was the knowledge partner for “Business Catalist – Catalytic Initiative for Social Transformation” that was organized by Outlook India and Intellecap on November 10, 2014. This collaboration was supported by the Impact Economy Innovations Fund (IEIF) Grant aimed at building stronger infrastructure for the fast growing impact investing industry in India .
CineArt Steer to Safety Project is a CSR initiative of PVR Ltd supported by Michelin India to sensitize school children to promote road safety and positions them at the centre stage as proactive citizens and influencers.
When the President of India gave his assent to the Companies Bill, 2013 on August 31, 2013, India became the first country to mandate corporate social responsibility (CSR) activities by companies from April 1, 2014, through a statutory provision (Sec 135 of the Act). The passage of the Act is but a first step. The new ruling has catalysed partnership between the corporate and the civil society; this is the central idea for growth of CSR Projects.
Jammu and Kashmir is battling one of the worst floods in decades. More than 300 people have lost their lives and thousands remain stranded. In such a situation, companies can create substantial impact by supporting relief efforts and playing a vital role in long-term rehabilitation efforts.
Goonjan enables NGOs to capture data about their beneficiaries, about services being provided to the beneficiaries and assess impact of the services on the beneficiaries. It also enables NGO to capture data about donors and donations, and can link them to individual beneficiaries or a specific program. It can also be customized for NGO-specific requirements.
Budgetary allocations for education this year delineated approximately INR 27 crore for a new activity labeled ‘school assessments’, though the document does not provide clarity on what these assessments could entail.